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NEW ALBANY POLICE DEPARTMENT - New Albany, Ohio

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Addendum B<br />

Special Duty Coverage Sign-up<br />

Today’s Date:<br />

Company Name:<br />

Caller’s Name:<br />

Phone Number:<br />

Event:<br />

Location:<br />

Contact Person:<br />

Date(s) of Service:<br />

Time(s):<br />

Cruiser(s) Requested: Yes No If yes, how many? _________________<br />

Comments:<br />

Number of Officers Requested: _________________ Uniformed?: Yes No<br />

Officer Name: Date(s): Time:<br />

Posting Expiration Date:<br />

PD-07-103<br />

Revised April 12, 2011

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